Individual provider Active NPI

Nisarg Tushar Parikh, D.M.D.

  • Dentist
  • Gulf Breeze, FL
National Provider Identifier
1760814438
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20319 Issued in FL
Practice address
85 Nightingale LN
Gulf Breeze, FL 32561-4337
Phone
(850) 934-3408
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20319 FL Primary

Addresses

Primary practice location

85 Nightingale LN
Gulf Breeze, FL 32561-4337

Mailing address

85 Nightingale LN
Gulf Breeze, FL 32561-4337
Phone (850) 934-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002019 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1658692439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1760814438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614337",
            "telephone_number": "850-934-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614337",
            "telephone_number": "850-934-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "NISARG",
        "middle_name": "TUSHAR",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.